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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/60641/psn-pdf
July 01, 2020 - Predictors and triggers of incivility within healthcare
teams: a systematic review of the literature.
July 1, 2020
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a
systematic review of the literature. BMJ Open. 2020;10(6):e035471. doi:10.1136/bmjopen-2019-035471.…
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psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - Negative emotions experienced by healthcare staff
following medication administration errors: a descriptive
study using text-mining and content analysis of incident
data.
December 21, 2022
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff
following medication a…
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psnet.ahrq.gov/node/61112/psn-pdf
November 11, 2020 - Repurposing clinical decision support system data to
measure dosing errors and clinician-level quality of care.
November 11, 2020
Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing
errors and clinician-level quality of care. J Med Syst. 2020;44(10):185. doi:10.1…
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psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the
VA National Center for Patient Safety's prospective risk
analysis system.
January 4, 2017
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis s…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/37706/psn-pdf
December 23, 2016 - Preventing pediatric medication errors.
December 23, 2016
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk
and to p…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/node/45205/psn-pdf
July 11, 2017 - Performance of the Global Assessment of Pediatric
Patient Safety (GAPPS) tool.
July 11, 2017
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient
Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
https://psnet.ahrq.gov/issue/performance-glo…
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psnet.ahrq.gov/node/74718/psn-pdf
February 02, 2022 - Medication-related interventions to improve medication
safety and patient outcomes on transition from adult
intensive care settings: a systematic review and meta-
analysis.
February 2, 2022
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety
and patient outcom…
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psnet.ahrq.gov/node/842758/psn-pdf
January 18, 2023 - Paediatric family activated rapid response interventions;
qualitative systematic review.
January 18, 2023
Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions;
qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363.
doi:10.1016/j.iccn.2022.10336…
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psnet.ahrq.gov/node/866435/psn-pdf
August 07, 2024 - Handoffs and transitions of care: a systematic review,
meta-analysis, and practice management guideline from
the Eastern Association for the Surgery of Trauma.
August 7, 2024
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-
analysis, and practice management guid…
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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psnet.ahrq.gov/node/41587/psn-pdf
September 19, 2016 - Supporting involved health care professionals (second
victims) following an adverse health event: a literature
review.
September 19, 2016
Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following
an adverse health event: a literature review. Int J Nurs Stud. 2013;50(5…
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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/836955/psn-pdf
April 20, 2022 - The National Imperative to Improve Nursing Home
Quality: Honoring Our Commitment to Residents,
Families, and Staff.
April 20, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022. ISBN: 9780309686259
https://psnet.ahrq.gov/issue/national-imperative-imp…
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psnet.ahrq.gov/node/851453/psn-pdf
July 19, 2023 - Association of polypharmacy and potential drug-drug
interactions with adverse treatment outcomes in older
adults with advanced cancer.
July 19, 2023
Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug?drug
interactions with adverse treatment outcomes in older adults with advanced …
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psnet.ahrq.gov/node/854987/psn-pdf
January 01, 2024 - Frequency, type, and degree of potential harm of adverse
safety events among pediatric emergency medical
services encounters.
November 1, 2023
Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events
among pediatric emergency medical services encounters. Prehosp Em…
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psnet.ahrq.gov/node/845069/psn-pdf
February 22, 2023 - How would final-year medical students perform if their
skill-based prescription assessment was real life?
February 22, 2023
Kalfsvel L, Hoek K, Bethlehem C, et al. How would final?year medical students perform if their skill?based
prescription assessment was real life? Br J Clin Pharmacol. 2022;88(12):5202-5217.
d…